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Last updated 14 September 2023

On 14 March 2023, the UK government announced that it would be lifting the eligibility for prescription medicines to treat erectile dysfunction (ED) for those who meet the current eligibility criteria. This would have a positive effect on the prescription market and will encourage doctors and patients to continue to seek treatment for ED.

Currently, there are only two medicines licensed for ED treatment: sildenafil (Viagra) and tadalafil (Cialis).

The two medicines are currently under review for their status in the medical specialties, and it is unknown why they are so widely used and accepted by patients and doctors. However, they have been shown to be effective in managing ED and are regularly prescribed for many different conditions.

In October 2023, the UK Medicines and Health Products Regulatory Agency (MHRA) announced that it was removing the sildenafil and tadalafil tablets from the market and would no longer be available on prescription in the UK.

The MHRA will continue to monitor the status of these medicines and consider other alternatives, such as other treatments for ED, before removing them from the market.

The removal of sildenafil and tadalafil from the market is likely to be subject to a number of decisions and decisions, including the decision to continue to operate whilst under medical supervision, to the decision to stop operating whilst under medical supervision, and to the decision to operate whilst under medical supervision, all of which have been made by the MHRA.

The MHRA will also be monitoring the availability of other ED treatments and alternatives on the market before removing these medicines from the market, including prescription medicines, as well as before the removal of sildenafil and tadalafil from the market.

A number of other treatments and alternatives are currently being reviewed and approved for removal from the market. These include some of the most common and well known medications, and some treatments, such as the erectile dysfunction drug Cialis.

Frequently Asked Questions

Are there any alternatives to sildenafil and tadalafil that are less likely to be removed from the market?

Yes, there are several alternative medications available in the UK for the treatment of ED, including:

  • Sildenafil (Viagra):is available as a 50mg tablet for erectile dysfunction and can be taken every day without regard to when or whether it is taken daily.
  • Tadalafil (Cialis):may be prescribed as a daily 50mg tablet or as an individual pill.

However, tadalafil (generic Cialis) has only been shown to be effective for up to 36 hours, and it is only available in tablet form. Tadalafil is only available on prescription.

What are the main advantages of sildenafil and tadalafil?

Sildenafil and tadalafil are the most commonly prescribed ED medications. While they are well-known and well-tolerated, they have some side effects which are typically mild and include headaches, facial flushing, indigestion, nasal congestion and dizziness. Tadalafil is also less likely than sildenafil to cause side effects such as headaches, nasal congestion and visual disturbances.

The most common side effects of sildenafil and tadalafil are generally considered mild and usually resolve on their own without any further adverse effects. However, if the medication is still prescribed for a medical condition, such as ED, the side effects may persist or become worse.

Are there any other alternative ED treatments that have had fewer or no side effects than sildenafil and tadalafil?

Yes, sildenafil and tadalafil have been shown to be effective in managing symptoms associated with erectile dysfunction, including the ability to have and keep an erection. However, they are not a treatment for erectile dysfunction, and there is a risk of serious side effects.

Other treatment options for ED include the following:

  • Erectile Dysfunction (ED):Sildenafil and tadalafil are both effective treatments for ED, and they are both available on prescription in the UK.

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IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

  • The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
  • The maximum recommended dosing frequency is once per day
  • The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
  • Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

  • There is no problem with gaining erections.
  • Nitrate medicine is taken for chest pain or heart failure
  • Amyl nitrite, so-called “poppers”, is taken as recreational drugs
  • Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
  • Ritonavir is taken for the treatment of HIV
  • Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
  • You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
  • You have a liver problem
  • You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
  • Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
  • You have a deformed penis
  • You are a woman
  • You are under 18 years of age
  • You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

IMPORTANT NOTE: An download-to-demand (PCT) video of this product, which is dependent on the manufacturer's information, is given below for a comparison with other products. If you are not sure you can get the PCT product/online mention please speak to your pharmacist. For your safety, all men aged 18 years and older are not using this product.

This product is further information related to its use during pregnancy and breastfeeding. Please inform your doctor or pharmacist if you are pregnant or planning to become pregnant before using this product. For products that may be used on an as-needed basis, please read the follow-on product information leaflet.

Viagra Connect is available without a prescription but is a violation of Federal Law 14. To remedy this problem, we recommend that you not use street drugs.

This product is supplied as an labelled and isistatic pack withuttie packs of 6, 8, 12, 24 and 64 tablets. You will need a valid prescription to get this product.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

as soon as possible

In the US, start taking Viagra at the same time each day. (When new, take your time before eating before taking Viagra, as some supplements can interact with Viagra.) Viagra can start side effects below.

Possible side effects that may not be listed on the product we usually buy, are:
  • Blue tinge

If you experience any serious symptoms, contact your doctor as soon as possible.

Do not increase your dose or use this drug more than recommended. Also, do not take it more than once every 24 hours or as directed by your doctor.

    If you experience any serious side effects, contact your doctor as soon as possible. These are symptoms of a severe adverse reaction to this medication that require immediate medical attention.